{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T20:10:05Z","timestamp":1791835805252,"version":"4.3.4"},"reference-count":37,"publisher":"Royal College of Psychiatrists","issue":"1","license":[{"start":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T00:00:00Z","timestamp":1514851200000},"content-version":"unspecified","delay-in-days":8767,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[1994,1]]},"abstract":"<jats:p>Long-term outcome studies for people suffering from bulimia nervosa are few. Ten years after presentation, we followed up 50 patients (49 women, 1 man) who were originally involved in a double-blind, controlled trial of the antidepressant mianserin. Standardised interviews and questionnaires were used to assess eating attitudes and behaviour, psychiatric status and social functioning. A DSM\u2013III\u2013R diagnosis was given where appropriate. Sufficient information to make a diagnosis was obtained for 44 subjects (88%). Of patients traced, 52% had recovered fully and only 9% continued to suffer the full syndrome; 39% continued to experience some symptoms. Significant predictors of favourable outcome were younger age at onset, higher social class and a family history of alcohol abuse. Outcome for bulimia nervosa continues to improve over ten years with the majority of patients eventually making a full recovery or suffering only moderate abnormalities in eating attitudes. Although predictors of recovery were few, it would appear that intervention has a significant impact on ultimate outcome.<\/jats:p>","DOI":"10.1192\/bjp.164.1.80","type":"journal-article","created":{"date-parts":[[2008,10,15]],"date-time":"2008-10-15T05:26:25Z","timestamp":1224048385000},"page":"80-87","source":"Crossref","is-referenced-by-count":74,"title":["Ten-Year Follow-Up of 50 Patients with Bulimia Nervosa"],"prefix":"10.1192","volume":"164","author":[{"given":"Sunny","family":"Collings","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"King","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2018,1,2]]},"reference":[{"key":"S0007125000050261_ref2","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","year":"1987"},{"key":"S0007125000050261_ref19","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.286.6378.1609"},{"key":"S0007125000050261_ref18","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(199107)10:4<379::AID-EAT2260100402>3.0.CO;2-I"},{"key":"S0007125000050261_ref10","doi-asserted-by":"publisher","DOI":"10.1111\/j.2044-8341.1959.tb00467.x"},{"key":"S0007125000050261_ref7","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1992.01820020059008"},{"key":"S0007125000050261_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3999(92)90024-V"},{"key":"S0007125000050261_ref29","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700031974"},{"key":"S0007125000050261_ref21","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-76634-3_11"},{"key":"S0007125000050261_ref9","first-page":"18","article-title":"A standardised psychiatric interview for use in community surveys","volume":"24","author":"Goldberg","year":"1970","journal-title":"British Journal of Social and Preventive and Social Medicine"},{"key":"S0007125000050261_ref26","volume-title":"Standard Occupational Classification","volume":"1\u20133","year":"1990"},{"key":"S0007125000050261_ref15","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700038526"},{"key":"S0007125000050261_ref20","volume-title":"Proceedings on the 15th European Conference on Psychosomatic Research","author":"Lacey","year":"1986"},{"key":"S0007125000050261_ref36","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1176\/ajp.137.6.695","article-title":"Primary affective disorder in relatives of patients with anorexia nervosa","volume":"137","author":"Winokur","year":"1980","journal-title":"American Journal of Psychiatry"},{"key":"S0007125000050261_ref32","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700020559"},{"key":"S0007125000050261_ref24","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(198603)5:3<441::AID-EAT2260050304>3.0.CO;2-J"},{"key":"S0007125000050261_ref13","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700002543"},{"key":"S0007125000050261_ref17","doi-asserted-by":"crossref","unstructured":"King M. B. (1989) Eating disorders in a general practice population. Prevalence, characteristics and follow-up at 12 to 18 months. Psychological Medicine (suppl. 14).","DOI":"10.1017\/S0264180100000515"},{"key":"S0007125000050261_ref3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.1986.tb00389.x"},{"key":"S0007125000050261_ref14","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700005766"},{"key":"S0007125000050261_ref35","doi-asserted-by":"publisher","DOI":"10.1111\/j.2044-8341.1984.tb02595.x"},{"key":"S0007125000050261_ref1","first-page":"139","volume-title":"Eating Disorders and Disordered Eating","author":"Abraham","year":"1987"},{"key":"S0007125000050261_ref37","doi-asserted-by":"crossref","first-page":"1172","DOI":"10.1176\/ajp.144.9.1172","article-title":"A 20-month follow-up study of 628 women with eating disorders, I: course and severity","volume":"144","author":"Yager","year":"1987","journal-title":"American Journal of Psychiatry"},{"key":"S0007125000050261_ref33","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1176\/ajp.143.3.290","article-title":"The relationship between affective disorder and eating disorders: a review of the literature","volume":"143","author":"Swift","year":"1986","journal-title":"American Journal of Psychiatry"},{"key":"S0007125000050261_ref25","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(198903)8:2<157::AID-EAT2260080204>3.0.CO;2-2"},{"key":"S0007125000050261_ref6","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-76634-3_10"},{"key":"S0007125000050261_ref31","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.145.5.512"},{"key":"S0007125000050261_ref23","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1176\/ajp.142.4.482","article-title":"Characteristics of 275 patients with bulimia","volume":"142","author":"Mitchell","year":"1985","journal-title":"American Journal of Psychiatry"},{"key":"S0007125000050261_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3956(85)90043-3"},{"key":"S0007125000050261_ref11","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.23.1.56"},{"key":"S0007125000050261_ref34","doi-asserted-by":"publisher","DOI":"10.1097\/00006842-198701000-00004"},{"key":"S0007125000050261_ref22","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.1986.tb00345.x"},{"key":"S0007125000050261_ref27","first-page":"60","article-title":"Bulimia: a report of 34 cases","volume":"42","author":"Pyle","year":"1981","journal-title":"Journal of Clinical Psychiatry"},{"key":"S0007125000050261_ref28","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.158.4.495"},{"key":"S0007125000050261_ref8","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700049163"},{"key":"S0007125000050261_ref5","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700031494"},{"key":"S0007125000050261_ref4","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700017190"},{"key":"S0007125000050261_ref30","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2125.1983.tb05866.x"}],"container-title":["British Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0007125000050261","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,15]],"date-time":"2019-05-15T20:11:12Z","timestamp":1557951072000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0007125000050261\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,1]]},"references-count":37,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1994,1]]}},"alternative-id":["S0007125000050261"],"URL":"https:\/\/doi.org\/10.1192\/bjp.164.1.80","relation":{},"ISSN":["0007-1250","1472-1465"],"issn-type":[{"value":"0007-1250","type":"print"},{"value":"1472-1465","type":"electronic"}],"subject":[],"published":{"date-parts":[[1994,1]]}}}